# The Care Bureau Ltd - Domiciliary Care and Nursing Agency - Leamington Spa

*Operated by The Care Bureau Limited.*

The Care Bureau Ltd - Domiciliary Care and Nursing Agency - Leamington Spa is a CQC-regulated home-care agency in Leamington Spa.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 16/05/2023

## Practical info

- Postcode: CV31 3RZ
- Registered manager: Evans, Amanda
- Local authority: Warwickshire
- Region: West Midlands
- City: Leamington Spa
- Last CQC check: 16/May/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-06-10
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-06-10

### effective

- Finding
  - Staff work with other agencies to provide consistent, effective, timely care
  - Published: 2023-06-10
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-06-10
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-06-10
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-06-10

### Other

- Finding
  - Evidence: Positive staff culture, with long-serving staff expressing pride in working for the organisation.
  - Published: 2023-06-10
- Finding
  - Evidence: Recruitment processes included appropriate DBS checks and references.
  - Published: 2023-06-10
- Finding
  - Evidence: People's communication needs were assessed and documented, and the service adhered to the Accessible Information Standard.
  - Published: 2023-06-10
- Finding
  - Evidence: The service had a care call monitoring system to alert management when staff were running late.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff felt well supported by management, with an effective out-of-hours on-call system in place.
  - Published: 2023-06-10
- Finding
  - Evidence: Infection prevention and control was well managed, with staff trained and equipped with appropriate PPE.
  - Published: 2023-06-10
- Finding
  - Evidence: Staff demonstrated strong understanding of dignity, independence, and person-centred support in their day-to-day practice.
  - Published: 2023-06-10
- Finding
  - Evidence: People and relatives gave consistently positive feedback about the caring, compassionate approach of care staff, describing staff as 'like family members'.
  - Published: 2023-06-10
- **staff_competency** _(moderate)_
  - Evidence: Improvement was needed in the processes for assessing staff's medication competency. Whilst assessments had deemed care staff as competent, the knowledge of the assessor required improvements.
  - Published: 2023-06-10
- **consent_capacity** _(moderate)_
  - Evidence: One person's care plan stated they were unable to retain information to make decisions...however, no further detail was given to staff about who could make such decisions on behalf of this person.
  - Published: 2023-06-10

### responsive

- Finding
  - End of life care and support
  - Published: 2023-06-10
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-06-10
- Finding
  - Meeting people's communication needs
  - Published: 2023-06-10
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-06-10

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-06-10
- Finding
  - Staffing and recruitment
  - Published: 2023-06-10
- Finding
  - Preventing and controlling infection
  - Published: 2023-06-10
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-06-10
- Finding
  - Using medicines safely
  - Published: 2023-06-10
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-06-10

### well_led

- Finding
  - Continuous learning and improving care; Working in partnership with others
  - Published: 2023-06-10
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-06-10
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-06-10
- Finding
  - Managers being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2023-06-10

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-12118262151

HomeCare Compass is an independent guide and is not affiliated with the CQC.